Every time someone posts science regarding trans identities I become less convinced that they are genuinely "in the wrong body" and more convinced they are just suffering from mental illness that should be treated with therapy.

this is really problematic of me to say but I think there's something to the idea that some people really do feel overwhelming disgust at the body they were born in, and a strong pull to change it to match how they feel inside, similar to
BIIDwhile some people are so attracted to women/horny that they fetishize the idea of inhabiting that body, they're not in any persistent discomfort, they just dream of being able to squeeze their own titties and jill off
this may have a mirror in BIID cases where the person doesn't want their arm cut off due to dysmorphia or a sense of wrongness, but because they fetishize the idea of being helpless/disabled and want others to pity them and care for them (Munchausen)
I'm not prescribing any particular solution to any of this, I just think these different categories exist and help explain the people who are outspoken, hypersexual, and don't appear to suffer from dysmorphia
spoiler (click to show/hide)
it may also help to explain why SRS sometimes makes things worse, since it often reduces/removes the ability to feel sexual stimulation, and being confronted with the prospect of the maintenance for the rest of your life afterward is all-too-real compared to one's idealized fantasies